A case report of hemorrhagic shock from rare ruptured intertitial pregnancy

Roughaya Teyib, Oumaima kassou, N. Zeraidi, A. Lakhdar, A. Baidada
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Abstract

Interstitial pregnancy is rare and exhibit a mortality rate notably higher than that observed in other types of ectopic pregnancies. We report a 38-year-old female admitted for a hemorrhagic shock. She was ten weeks pregnant. The suspicion of a ruptured ectopic pregnancy arose based on amenorrhea accompanied by abdominal pain and a pelvic ultrasound showing an empty uterus and abundant free fluid in the abdomen. Emergent exploratory laparotomy was indicated by hemodynamic instability, revealing a ruptured left interstitial ectopic pregnancy. The use of three dimensional ultrasonographic imaging specially in the first trimester improves the rate for early detection. The medical or surgical management of an interstitial pregnancy depends on the patient’s hemodynamic stability considering the rupture of the pregnancy. interstitial pregnancy is linked to elevated morbidity. Early diagnosis and adequate management both can avoid its catastrophic outcomes.
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罕见间质妊娠破裂导致失血性休克的病例报告
间质妊娠非常罕见,其死亡率明显高于其他类型的异位妊娠。 我们报告了一名因失血性休克入院的 38 岁女性。当时她已怀孕十周。由于闭经并伴有腹痛,盆腔超声显示子宫空虚,腹腔内有大量游离液体,因此怀疑是宫外孕破裂。由于血流动力学不稳定,紧急进行了剖腹探查术,发现左侧间质异位妊娠破裂。 特别是在妊娠头三个月使用三维超声波成像技术提高了早期发现率。间质妊娠的药物或手术治疗取决于患者血液动力学的稳定性,并考虑到妊娠的破裂。早期诊断和适当处理可避免灾难性后果。
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